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DR. DONALD BEARDEN PHD
NPI 1508217506
Clinical Neuropsychologist in Roxbury Crossing, MA

Active since June 30, 2016PECOS Enrolled
30 IROQUOIS ST, UNIT 33, ROXBURY CROSSING, MA 02120(678) 612-1306 Get Directions Write a Review

NPPES record last updated: June 30, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Donald Bearden Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DONALD BEARDEN PHD (NPI 1508217506) is an individual clinical neuropsychologist in Roxbury Crossing, Massachusetts, licensed in Georgia (PSY004019) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508217506
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. DONALD BEARDENCredential: PHD
Location Address30 IROQUOIS ST, UNIT 33Roxbury Crossing, MA 02120-2848
Mailing Address30 Iroquois St, Unit 33Roxbury Crossing, MA 02120-2848
Phone(678) 612-1306
Sole ProprietorYes
Enumeration DateJune 30, 2016
✔ NPI 1508217506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in GA · PSY004019
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
30 IROQUOIS ST, Roxbury Crossing, MA 02120
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Donald Bearden Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Donald Bearden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ut Lebonheur Pediatric Specialists, Inc.
1,133 mi
Pediatrics
848 ADAMS AVE.
Memphis, TN 38103
  • Reassigned Medicare billing, Tennessee enrollment
  • 582 clinicians in this Medicare group
NPI 1093024101 (901) 287-7337

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donald Bearden's NPI number?

The NPI number for Donald Bearden is 1508217506. It was assigned to this individual provider in the NPPES registry on June 30, 2016.

Where is Donald Bearden located?

Donald Bearden practices at 30 Iroquois St Unit 33, Roxbury Crossing, MA 02120. The listed phone number is (678) 612-1306.

What is Donald Bearden's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Donald Bearden enrolled in Medicare?

Yes. Donald Bearden is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Donald Bearden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Bearden reassigns Medicare benefits to Ut Lebonheur Pediatric Specialists, Inc. (Memphis, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donald Bearden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Bearden accept?

Health plans from BlueCross BlueShield of Tennessee list Donald Bearden as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Donald Bearden was last updated on June 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.